了解杀风险:一个全面的审查,以告知心理健康护理实践
Claire Hayes1,2, Alison Hansen3, Louise Alexander1,2,4
1Deakin University, Burwood, Victoria, Australia.
International journal of mental health nursing
|October 28, 2025
概括
亲生杀人,即父母杀害孩子,与父母的心理健康问题有关. 本次审查突出了医疗保健工具中评估杀风险的差距,特别是在心理健康护士中.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 家庭暴力 家庭暴力
背景情况:
- 亲生杀人 (父母杀害孩子) 是一种严重的家庭暴力形式,具有重大公共卫生影响.
- 它通常与父母的心理健康障碍,家庭功能障碍和心理社会压力因素有关.
- 目前的医疗保健响应,特别是在心理健康护理方面,尚未得到充分研究.
研究的目的:
- 为了识别犯下凶杀罪的个体的特征.
- 检查医疗保健工具和实践,以评估和管理杀风险.
- 为心理健康护理实践提供有关杀风险评估的信息.
主要方法:
- 采用了一个范围审查方法,以阿克西和奥马利的框架为指导.
- 在六个数据库 (EMBASE,教育源,APA PsycINFO,CINAHL,Medline Complete,Scopus) 中进行了全面的搜索.
- 包含了15项研究,使用混合方法评估工具绘制图表,分析和评估数据.
主要成果:
- 大多数研究都集中在杀性母亲身上,确定心理健康障碍,创伤,精神病诊断 (精神病,抑郁症) 和社会压力因素等风险标志物.
- 在医疗保健机构中,没有确定用于filicide风险评估的验证的临床工具.
- 关键的人口和心理风险指标在所有研究中都得到一致报告.
结论:
- 心理健康护士在评估和管理杀风险方面的临床指导存在严重差距.
- 提高对杀风险指标的认识对于早期干预和伤害预防至关重要.
- 将风险指标纳入常规心理健康评估可以改善患者的治疗结果.
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